| PAH Foundation Lodge (The) - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | June 23, 2021 |
| Reason for Investigation | - Licensing - Staffing - Care and supervision - Nutrition and food services |
| Report of Findings |
|---|
| On January 20, 2021, Licensing received a complaint alleging concerns regarding Nutrition, Care and Supervision, Staffing and Policy and Procedures. The allegations included the following details: - The Person in Care (PIC) had significant weight loss as a result of staff not knowing how to feed the PIC - A PIC was not transferred to hospital in a timely manner, resulting in complications - Leadership was not present on weekends and concerns were not acknowledged All areas of the complaint were fully investigated. Evidence was received and reviewed through communications with facility management, the complainant, and a review of documentation. The following contraventions were determined: - Residential Care Regulation Section RCR 85(1)(d)- Policies and Procedures - Residential Care Regulation Section 81(4) (b)(i) Care Plan Needed If More than 30 Day Stay |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Licensing determined that policies and procedures were not implemented by employees. Corrective action: Corrective action required. |
| 34750 - RCR s.81(4)(b)(i) | A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care. Observation: Licensing determined a care plan was not updated as needed. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - No further action required. All contraventions have been addressed. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on June 23, 2021. |
